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	  <span style="font-size:16px;font-weight:bold;">Payroll</span>
    <form wicket:id="payrollForm" >
    		
            <p> 
			<label><span >Payroll ID</span></label> 
			<input type="text" style="width:250px" wicket:id="payroll_id" /> 
			</p>
            
            <p> 
			<label><span >Organization ID</span></label> 
			<input type="text" style="width:250px" wicket:id="org_id" /> 
			</p>
                     		
    		<p><label><span >Date:</span></label>
    		<input id="demo1" type="text" style="width:250px" wicket:id="date" /> 
			<a href="javascript:NewCal('demo1','ddmmmyyyy')"><img src="images/cal.gif"></a> 
			</p>
            
            <p> 
			<label><span >Activity</span></label> 
			<input type="text" style="width:250px" wicket:id="activity" /> 
			</p>
            
            <p> 
			<label><span >Purpose</span></label> 
			<input type="text" style="width:250px" wicket:id="purpose" /> 
			</p>
            
            <p> 
			<label><span >Disbursed By</span></label> 
			<input type="text" style="width:250px" wicket:id="disbursed_by" /> 
			</p>
			
            <p> 
			<label><span >Approved By</span></label> 
			<input type="text" style="width:250px" wicket:id="approved_by" /> 
			</p>
            
            <p> 
			<label><span >Date Created</span></label> 
			<input type="text" style="width:250px" wicket:id="date_created" /> 
			</p>
            
            <p> 
			<label><span >Uploader</span></label> 
			<input type="text" style="width:250px" wicket:id="uploader" /> 
			</p>
            
			<p> 
			<label><span >Status</span></label> 
			<input type="text" style="width:250px" wicket:id="status" /> 
			</p>
			
			
			
			<label>
			<input class="button" type="submit" value="Add" wicket:id="payrollAdd"/>
			</label>
	 </form>
	 </div>
	 
    
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